Objective: To examine the ability of the Mini Mental Status Examination (MMSE) and Montreal Cognitive Assessment (MoCA) to detect cognitive impairment in persons with heart failure (HF). Background: Although the MMSE and MoCA are commonly used screeners in HF, no research team has validated their performance against neuropsychological testing. Methods: Participants were 106 patients with HF (49.1% male, 68.13±9.82 years) who completed the MoCA, MMSE, and a full neuropsychological battery. Sensitivity and specificity were examined. Discriminant function analyses tested whether the screeners correctly detected cognitive impairment. Results: A MoCA score <25 and MMSE score of <28 yielded optimal sensitivity/specificity (.64/.66 and .70/.66, respectively). The MoCA correctly classified 65% of patients, Wilk's lambda=.91, χ2(1)=9.89, p
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Hawkins, M. A. W., Gathright, E. C., Gunstad, J., Dolansky, M. A., Redle, J. D., Josephson, R., … Hughes, J. W. (2014). The MoCA and MMSE as screeners for cognitive impairment in a heart failure population: A study with comprehensive neuropsychological testing. Heart and Lung: Journal of Acute and Critical Care, 43(5), 462–468. https://doi.org/10.1016/j.hrtlng.2014.05.011
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